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This is a discussion on How do you measure temperatures? in MICU / SICU Nursing, part of Critical Care Nursing ... The unit that I work in is a mixed ICU. We currently measure temps axillary-- which literature says...by EMSnut45 Apr 26, '11The unit that I work in is a mixed ICU. We currently measure temps axillary-- which literature says is inaccurate. We have trialed tempanic thermometers with very iffy results. Some of the other units in the hospital use temporal thermometers, and staff complain of inaccurate results with them as well.
We are looking to change our practice, and are willing to spend money.
My vote is to do esophageal temps on the monitor for all intubated patients, and do oral temps on non-intubated patients. What do you think?
How does your unit measure temperatures?
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- Apr 26, '11 by meandragonbrettBladder temps and PA cath temps. Otherwise oral.
- Apr 27, '11 by detroitdanoBladder or oral. Axillary is a last resort.
- Apr 27, '11 by Da_Milk_of_AmnesiaShould be bladder or oral, Esophagus would be great too....However I happen to love when we use our cooling blankets and have a rectal probe in, and the machine cools the patient down to a set temp.
- Apr 28, '11 by detroitdanoAnyone using the Alsius units? I've never had to use one yet but I know neuro uses them from time to time.
- Apr 28, '11 by flo136Hi
Sarah in Adelaide, Australia here
We started using Alsius units 8 months ago.
Look like a central femoral line.
Do a great job.
Easy to use. Nice little dial to see the fluid running through that you have to check.
It sure beats the air blankets and coool gel underblankets we used to use.
But we still don't use them much (We only have 2 I think).
Mainly for hypothermia to 32 celcius post cardiac arrest for 24 hours.
- Apr 29, '11 by Darkfieldmonotherm foley caths. Unless you've got a freak ICU pt that doesn't need a foley (that happens) or someone with a 3way, it's the way to go.
- Apr 30, '11 by RN1980back of my hand to pt's forehead.
- Apr 30, '11 by xx--RN--xxQuote from RN1980LOL..back of my hand to pt's forehead.
...or 0.2 degrees higher or lower from the last temp recorded....that way, you don't have to actually go in the room.